ICU经口气管插管患者口腔护理操作困难现状及影响因素  

Status and Influencing Factors of Oral Nursing Difficulties in ICU Patients with Oral Endotracheal Intubation

作　　者：张亚 李双双 秦潇潇 陈菲菲[2] 辛宁 唐华 高伟[4] ZHANG Ya;LI Shuangshuang;QIN Xiaoxiao;CHEN Feifei;XIN Ning;TANG Hua;GAO Wei(Department of ICU,Shandong Provincial Hospital,Shandong University,Ji'nan 250021,China;Department of the Second Hospital of Shandong University,Ji'nan 250033,China;Department of Thoracic,Shanghai Chang zheng Hospital,Shanghai 200001,China;Department of PICC,Shandong Provincial Hospital,Shandong University,Ji'nan 250021,China)

机构地区：[1]山东大学齐鲁医院重症医学科,山东济南250012 [2]山东大学第二医院,山东济南250033 [3]上海长征医院胸外科,上海200001 [4]山东大学齐鲁医院PICC门诊,山东济南250012

出　　处：《中国医药指南》2022年第2期83-85,89,共4页Guide of China Medicine

摘　　要：目的调查ICU经口气管插管患者口腔护理操作困难现状并分析其影响因素。方法采取便利抽样法选取2020年6—12月某市两所三级甲等综合医院ICU收治的386例经口气管插管患者作为研究对象,采用ICU经口气管插管患者口腔护理操作困难影响因素调查表,分析经口气管插管口腔护理操作困难的发生率和影响因素。结果口腔护理操作困难发生率为84.72%。单因素分析结果显示,困难组的口腔留置装置数量、SOFA评分、RASS评分、CPOT评分、身体约束与非困难组比较差异有统计学意义,P<0.05。logistic回归分析结果显示,口腔留置装置数量、SOFA评分、CPOT评分、身体约束为经口气管插管患者口腔护理操作困难的主要影响因素(P<0.05)。结论ICU经口气管插管患者口腔护理操作困难发生率高,医务人员应根据影响因素的不同进行针对性的治疗与护理,提高口腔护理质量,改善患者口腔状况,预防呼吸机相关性肺炎的发生。Objective To investigate the current situation of oral care difficultiesin ICU patients with oral endotracheal intubation and analyze its influencing factors.Methods Three hundred and eighty six patients with orotracheal intubation in ICU of two Third-class general hospitals in Jinan from June to December 2020 were selected by convenient sampling,and a questionnaire on theinfluencing factors of oral care operation difficulty in ICU patients with oral endotracheal intubation was used to analyze the incidence and influencing factors of oral care operation difficulty inoral endotracheal intubation.Results The incidence of difficulty in oral care operations was 84.72%.Univariate analysis showed that there were significant differences in the number of oral indwelling devices,SOFA score,RASS score,cpot score and physical restraint between the difficult group and the non difficult group(P<0.05).Logistic regression analysis showed that the number of oral indwelling devices,the sequentialorgan failure score,the intensive care pain tool score,and the use of physical restraint were the influencing factors for the difficultyof oral care in patients with oral endotracheal intubation(P<0.05).Conclusion ICU patients with oral endotracheal intubation have a high incidence of difficult oral care operations,medical staff should provide targeted treatment and care according to different influencing factors to improve the quality of oral care,improve patients'oral conditions,and prevent the occurrence of ventilator-related pneumonia.

关 键 词：ICU 经口气管插管 口腔护理操作困难 影响因素 

分 类 号：R473.78[医药卫生—护理学]